Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $57.89 / $123.22	Facility		$51.34	$57.89	$123.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $52.63 / $71.14	Professional		$51.34	$52.63	$71.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $53.91 / $53.91	Professional		$53.91	$53.91	$53.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $299.05 / $299.05	Facility		$80.00	$299.05	$299.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.74 / $52.63 / $75.26	Facility		$26.74	$52.63	$75.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $48.14 / $48.14	Professional		$48.14	$48.14	$48.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $54.55 / $75.26	Facility		$28.52	$54.55	$75.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $76.17	Professional		$56.42	$56.42	$76.17